Active NPI
Ronald M Goodmark, DC
- Chiropractor
- Huntington Station, NY
National Provider Identifier
1437209061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X001750
- Practice address
- 135 Jericho Tpke
Huntington Station, NY 11746-3649 - Phone
- (631) 423-1969
- Fax
- (631) 423-2328
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X001750 | NY | Primary |
Addresses
Primary practice location
135 Jericho Tpke
Huntington Station, NY 11746-3649
Mailing address
135 Jericho Tpke
Huntington Station, NY 11746-3649
Phone (631) 423-1969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001750 | NY | MD | Mental Health Counselor |
| X001750 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1437209061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 JERICHO TPKE",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117463649",
"telephone_number": "631-423-1969",
"fax_number": "631-423-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 JERICHO TPKE",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117463649",
"telephone_number": "631-423-1969",
"fax_number": "631-423-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMARK",
"first_name": "RONALD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X001750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.